Author: admin

Students will:

Recommend strategies to lead organizational change

Justify plans for implementing and managing organizational change in organizational/workplace settings

Create plans for communicating proposed changes to stakeholders

Recommend risk mitigation plans when managing organizational changes

To Prepare:

• Review the Resources and identify one change that you believe is called for in your organization/workplace.
• This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
• Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

The Assignment (5-6-minute narrated PowerPoint presentation):

Change Implementation and Management Plan

Create a 5- or 6-slide narrated PowerPoint that presents a comprehensive plan to implement changes you propose.

Your narrated presentation should be 56 minutes in length.

Your Change Implementation and Management Plan should include the following:

• An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
• A description of the change being proposed
• Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
• Details about the type and scope of the proposed change
• Identification of the stakeholders impacted by the change
• Identification of a change management team (by title/role)
• A plan for communicating the change you propose
• A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

Alternate Submission Method

You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the page. This page will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only “Screen” and “Audio” are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the “Posting Your Video in the Classroom Guide” found on the Kaltura Media page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes.

Submit your narrated Change Implementation and Management Plan. Review the following submission instructions for the type of submission you choose

RESPOND to one (1) posting from your peers. The same criteria concerning a personal opinion from the above paragraph, applies here as well. Your postings in response to your peers should be concise but facilitate a lively dialogue on the topic being discussed and should also show critical analysis of this week’s topic. Do NOT simply repeat information from your initial posting.The secondary or peer response must be between 150-200 words with at least one peer-reviewed reference. In-text citations and references are not included in the word count. Please double space between paragraphs but do NOT use double spacing or indention throughout. The only APA format should be for citation of sources in-text and the reference list. No file can be uploaded.

PEER POST:

Our unit is very large and employs over 90 full-time, part-time, and per diem nurses. More than 30 of these nurses have worked in our unit for 15-30 plus years. One can deduce that much of our practice variation may be due to the gap in reeducation and training once there are policy updates. One way to improve disbursement of new studies and discuss patient outcomes and care practices would be to have a pre-shift huddle with nurses to discuss unit and patient care issues. Evidence points to improved patient outcomes, decreased practice variation, and improved adherence to evidence-based practices when there is frequent continuing education and educational communication with the care team (Fontaine et al., 2024). This would also be a great way to evaluate my strategy success once implemented.

A short update on the thermoregulation policy would be discussed during the huddle and allow time for questions and comments on what struggles the nurses have been experiencing. A month after the reeducation, a follow-up discussion during huddle would address what improvements or challenges staff have noticed since reeducation on the thermoregulation policy. Next, a chart review of infants that have undergone transition to an open crib measuring success versus failure would be evaluated and compared to the prior month to substantiate the evaluation results. Using data such as weight, axillary temperatures and success/failure rates collected through a retrospective chart review, as outlined by Jacob and Casatelli (2020), will help confirm if the strategy was a success or not. Further dissemination of this strategy would be to provide the unit with the results of the weaning success through pre-shift huddle, email, and a printed version of the thermoregulation discussion and chart review results in the employee break room.

Electronic medical records systems are not always available, so the importance of knowing how to write an accurate prescription on a prescription pad is imperative. Writing prescription medications is something you will be doing day after day, patient after patient. There are special considerations depending on the DEA schedule of controlled medication you are writing. This Assignment will start preparing you for this task and understanding.

Note: Written prescriptions for pharmacies may differ from chart orders for hospitalizations. For this Assignment, you are writing outpatient prescriptions for pharmacies.

Assignment #1 – Special Considerations for Patient Populations Paper:

Construct a paper concerning one of the patient cases listed below. Please choose the patient case that interests you, one will NOT be assigned. (hopefully the class is starting to see a pattern here!). In your paper include the following:

Determine which medication would be most appropriate to prescribe from the assigned vulnerable population patient case medication choices.

Explain your rationale for choosing this medication. Explain why the other medications listed are not appropriate for this patient.

Explain the dosing schedule for the specific patient including the therapeutic endpoint.

Provide necessary education to the patient to review risks, benefits, and potential side effects of the medication.

Describe any necessary labs or additional diagnostics needed prior to prescribing this medication.

Explain how you might monitor efficacy or side effects of the medication.

Include any additional collaboration or education to others that would be necessary for this patient. Consider family members, home health care, primary care providers, etc.

What would you need to include in your assessment for a patient who may become nonadherent with your prescribing plan for your scenario? What are alternative treatment solutions based upon how you assessed? Describe your new treatment plan.

This Assignment requires a minimum of five (5) peer-reviewed, evidence-based scholarly references outside of course resources.

Note: You will need to include the APA style formatting.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The

provides an example of those required elements. All papers submitted must use this formatting.

Due by Day 7 of Week #10

Special Considerations for Patient Populations Cases:

Patient 1: 82-year-old male presenting with cognitive decline. He had always been a very active individual. Over the past year, he has become less active in the community. Previously, he played cribbage weekly with friends at the local senior center but has been struggling with the math involved with the game and no longer attends the weekly card game. He had also volunteered as a crossing guard for the local public school. He quit doing that after he took the wrong turn to get home and drove around the town feeling lost. He acknowledges he is sensitive to this and can be irritable towards his children when they bring up these concerns. He was diagnosed with mild neurocognitive disorder after completing neuropsychological testing. Of the following medications, which would be the most appropriate to prescribe? Explain why you chose this medication. What would be the dosing schedule for this patient? Provide education to the patient and review risks, benefits, and potential side effects of the medication. In addition, explain why the other medications listed are not appropriate for this patient. Med List: lorazepam, olanzapine, memantine

Patient 2: 76-year-old female who recently moved from her home to an assisted living. After 1 week of moving in, she has become extremely confused. Staff have attempted to re-orient her, and she struggles to focus on what they are saying. She is only oriented to self. She has become very agitated and has even thrown breakable objects in her room. Her family is concerned stating she is out of it. The PCP ordered labs and UA. Labs are unremarkable outside of mild leukocytosis and positive dipstick analysis for nitrite and red blood cells. Med List: valproate, alprazolam, trimethoprim

Patient 3: A 33-year-old female that is 6 weeks postpartum. She presents with depressed mood, sadness, easily emotional, difficulties with sleep even when the infant is sleeping. She has lost weight and has a poor appetite. You note psychomotor retardation. She has limited interests in hobbies or bonding with the infant. Her partner is concerned and reports she is typically active and bubbly and enjoys the outdoors. She is diagnosed with major depressive disorder, with postpartum onset. She denies suicidal ideation, homicidal ideation, or infanticidal ideation. No psychotic symptoms are present. She is nursing the infant and wants to continue this hoping it will assist with bonding with the infant. Med List: lithium, paroxetine, sertraline

Patient 4: 10-year-old male who comes in with his father. He has been diagnosed with generalized anxiety disorder. He has constant worries that he cannot control. He feels nervous and tense. He is easily irritable. He struggles to settle down or relax. He is also quite fidgety and restless. He and his father are interested in medications to manage these symptoms. Med List: quetiapine, duloxetine, fluoxetine

Patient 5: 27-year-old male with a diagnosis of schizophrenia. He has been hospitalized three (3) times in the past 1 year due to symptoms. When symptomatic, he becomes disorganized and paranoid. He will respond to auditory hallucinations. He will scream out at night after seeing a shadow in his room. He has delusions that the CIA is poisoning food and will not eat for multiple days. He has unintentionally hurt his mother after slapping food out of her hand, as he did not want her to ingest the poisoned food. Symptoms are treated very well with paliperidone, but he struggles to remember to take it. Med List: paliperidone palmitate, clozapine, lamotrigine

Assignment #2 – Writing Prescriptions

Create prescriptions using the patient information, medications, and indications listed below. Your goal is to demonstrate the accurate way to write a prescription that a patient would present to a pharmacy. The prescription should be written and signed. You will develop your mock prescriptions in a word document to include everything one might find on a printed prescription pad. You will write one prescription per page.

To write your prescriptions, please use the following patient information:

Patient Name: Jane Doe

DOB 1/1/2001

Duration: 3 months

Write a prescription for each of the following medications:

Sertraline, 100mg each day (depression)

Lorazepam, 1mg twice each day, if needed (panic attacks)

Aripiprazole, 2mg before bedtime (depression)

Methylphenidate ER, 54mg every morning before school (ADHD)

Please do not submit a narrative about how these will be written. We want to see 1 prescription per page in a format that would be transmitted to a pharmacy!